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General NPI Number Information
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NPI Number | 1972503589
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Entity Type | Organization
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Legal Business Name | FRIENDSHIP PHARMACY INC
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 3300 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-1601
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Country | US
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Telephone | 215-624-0440
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Fax | 215-624-3902
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Provider Business Mailing Address
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Address Line | 3300 COTTMAN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19149-1601
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Country | US
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Telephone | 215-624-0440
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Fax | 215-624-3902
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Authorized Official
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Title or Position | PRES/OWNER
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Name | MR. FRANK A RUBINO
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Credential | RPH
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Telephone | 215-624-0440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | PP410815L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PPA10815
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License Number State | PA
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